Active NPI
Lavender Vision PLLC
Doing business as Lavender Vision
- Optometrist
- Sequim, WA
National Provider Identifier
1164365367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LAVENDER VISION PLLC
- Doing business as
- Lavender Vision
- Practice address
- 955 W Washington St
Sequim, WA 98382-3266 - Phone
- (360) 406-2036
- Fax
- (360) 406-2037
- NPI assigned
- Apr 13, 2026
- Last updated
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Keister, OD
- Title
- Doctor/Owner
- Phone
- (360) 406-2036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
955 W Washington St
Sequim, WA 98382-3266
Mailing address
955 W Washington St
Sequim, WA 98382-3266
Phone (360) 406-2036
Other names 2
- Lavender Vision
- Lavender Vision LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Sequim, WA
- NPI 1245010271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1164365367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W WASHINGTON ST",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823266",
"telephone_number": "360-406-2036",
"fax_number": "360-406-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W WASHINGTON ST",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823266",
"telephone_number": "360-406-2036",
"fax_number": "360-406-2037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER VISION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "KEISTER",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "360-406-2036",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lavender Vision",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lavender Vision LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.